In this case report, the authors describe the occurrence of venous air embolism during nasal irrigation following an adenoidectomy. A literature review is presented of surgical procedures in which venous air embolism has been documented. The means of diagnosis, the pathophysiology, and the recommended treatment of venous air embolus also are presented. The clinical signs and symptoms of air emb...

OBJECTIVE To review the pathophysiology and management of patients with clinical manifestations of fat embolism. DATA SOURCES A review of studies reported from 1976 to 1998 and identified through a MEDLINE search of the literature on fat embolism and fat embolism syndrome. SUMMARY OF REVIEW Fat embolism occurs when bony or soft tissue trauma has caused fat to enter the circulation, or in at...

OBJECTIVE To validate all diagnostic prediction models for ruling out pulmonary embolism that are easily applicable in primary care. DESIGN Systematic review followed by independent external validation study to assess transportability of retrieved models to primary care medicine. SETTING 300 general practices in the Netherlands. PARTICIPANTS Individual patient dataset of 598 patients with...

AIM The Authors describe diagnosis, treatment and therapy of deep venous thrombosis in Emergency Department following the last guidelines indications. DISCUSSION Deep venous thrombosis of the legs, ranges from asymptomatic, incidentally discovered emboli to massive embolism causing immediate death. Chronic sequelae of venous thromboembolism (deep venous thrombosis and pulmonary embolism) incl...

Mesenteric artery embolism is a rare and urgent acute abdominal emergency, which is difficult to be diagnosed early and claims a very high mortality rate. Two rare cases of acute mesenteric artery embolism are reported. A 43-year-old man with history of rheumatic heart disease suffered from vomiting and diarrhea, no severe abdominal pain. Adjuvant therapy failed to relief the symptoms. Angiogra...

Orthopaedic patients are at particularly high risk for pulmonary embolism. There has been a trend recently toward overdiagnosis of pulmonary embolism; thus, evaluation of the nature of a clinically relevant pulmonary embolism is needed, as is assessment of the timing, risks, and outcomes of therapeutic anticoagulation in surgical patients. Recent literature shows the incidence of pulmonary embo...

This research identified psychosocial factors associated with post-traumatic stress and health anxiety following a venous thrombotic embolism. In all, 158 participants, largely registered with a venous thrombotic embolism information website (Lifeblood: The Thrombosis Charity), completed an online survey. Post-traumatic symptom scores were linked to health threat, and not moderated by perceived...

Pulmonary embolism is a serious complication, which is well known in patients undergoing total hip or total knee arthroplasty or lower extremity fracture surgery. But, there are few literatures concerning pulmonary embolism after upper extremity surgery. Pulmonary embolism after minor upper extremity fracture surgery is extremely rare. We report a case of 66-year-old female patient that develop...

Pulmonary embolism is one of the leading causes of cardiovascular related death beside myocardial infarction and stroke. Contrary to stroke and myocardial infarction, diagnosis of pulmonary embolism is considered to be much more difficult and complicated compare with the treatment once diagnosis is confirmed. Multiple diagnostic studies including clinical scoring, serum biomarker and diagnostic...

Fat embolism syndrome is usually associated with surgery for large bone fractures. Symptoms usually occur within 36 hours of hospitalization after traumatic injury. We present a case with fat embolism syndrome due to femur fracture. Prompt supportive treatment of the patient's respiratory system and additional pharmaceutical treatment provided the positive clinical outcome. There is no specific...